Application for Training - National Laboratory Training Network Registration form (32.1)

Application for Training

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0017 can be found here:

Documents and Forms

Document Name Document Type
Attachment 2 - Electronic NLTN Registration form CDC 32.1.doc Other-WORD
Attachment 1 - Hard copy NLTN Registration Form CDC 32.1.pdf Other-WORD

Information Collection (IC) Details

IC Title:	Application for Training - National Laboratory Training Network Registration form (32.1)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Attachment 2 - Electronic NLTN Registration form CDC 32.1.doc		Yes	Yes	Fillable Printable
Other-WORD			Attachment 1 - Hard copy NLTN Registration Form CDC 32.1.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-01610-Records of Health Professionals in Disease Prevention and Control Training Programs	FR Citation: 51 FR 42485

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	4,167	4,167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.